Individual
ANNE L. MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
10 WILSON RD, SUITE 1, STOCKBRIDGE, GA 30281-4468
(770) 506-9575
Mailing address
10 WILSON RD, SUITE 1, STOCKBRIDGE, GA 30281-4468
(770) 506-9575
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001877
GA
Other
Enumeration date
02/05/2011
Last updated
02/05/2011
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